Healthcare Provider Details

I. General information

NPI: 1972702041
Provider Name (Legal Business Name): ASHLEY ANN COWARD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ASHLEY ANN RHODES ASHLEY HARRY, APN

II. Dates (important events)

Enumeration Date: 07/17/2007
Last Update Date: 08/27/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3222 S 70TH ST
FORT SMITH AR
72903-5050
US

IV. Provider business mailing address

3222 S 70TH ST
FORT SMITH AR
72903-5050
US

V. Phone/Fax

Practice location:
  • Phone: 479-785-2825
  • Fax: 479-782-6630
Mailing address:
  • Phone: 479-785-2825
  • Fax: 479-782-6630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LP0222X
TaxonomyCritical Care Pediatric Nurse Practitioner
License NumberA01907ANP
License Number StateAR
# 2
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberA01907
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: